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<title><%=webname%>--在线支付</title>
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          align=middle><table width="100%" height="224"  border="0" cellpadding="0" cellspacing="0">
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                <td height="224"><form method="post" action="checklist.asp" name="E_FORM">
                    <center>
                              <table width="444">
                                <tr> 
                                  <td align="right"> 姓　名</td>
                                  <td> <input name="dinghuorenxingming" type="text"  size="30"> 
                                  </td>
                                </tr>
                                <tr> 
                                  <td align="right"> 地　址</td>
                                  <td> <input name="shouhuorendizhi" type="text" size="50"> 
                                  </td>
                                </tr>
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                                  <td align="right"> 电　话</td>
                                  <td> <div align="left"> 
                                      <input name="shouhuorendianhua" type="text" size="50">
                                    </div></td>
                                </tr>
                                <tr> 
                                  <td align="right"> 邮　编</td>
                                  <td> <input name="shouhuorenyoubian" type="text"size="50"> 
                                  </td>
                                </tr>
                                <tr> 
                                  <td align="right">金　额</td>
                                  <td><input name="v_amount" type=text value="100.00" >
                                    元　 譬如：<font color="#FF0000">0.01</font></td>
                                </tr>
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                                  <td align="right">备　注</td>
                                  <td><textarea name="textarea" cols="48" rows="2"></textarea></td>
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                            </center>
                            <center>
                           
                        <input type=submit name=v_action value="提交" onClick="MM_validateForm('dinghuorenxingming','','R','shouhuorendizhi','','R','shouhuorendianhua','','R','shouhuorenyoubian','','RisNum');return document.MM_returnValue">
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                          <TD class=goods style="PADDING-LEFT: 13px" 
                        width=225><img 
                        src="images/ico_rec_lightgreen2.gif" 
                        align=absMiddle vspace=6> 填写完整的资料<BR>
                              <img 
                        src="images/ico_rec_lightgreen2.gif" 
                        align=absMiddle vspace=6> 确认金额<BR>
                              <img 
                        src="images/ico_rec_lightgreen2.gif" 
                        align=absMiddle vspace=6> 提交</TD>
                          <TD width="124">&nbsp;</TD>
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                          <TD class=goods style="PADDING-LEFT: 13px" 
                        width=249><img 
                        src="images/ico_rec_lightgreen2.gif" 
                        align=absMiddle vspace=6> 再次确认您的信息<BR>
                              <img 
                        src="images/ico_rec_lightgreen2.gif" 
                        align=absMiddle vspace=6> 若有错请点击会返回进行修改<BR>
                                    <img 
                        src="images/ico_rec_lightgreen2.gif" 
                        align=absMiddle vspace=6> 点击“支付”进入NPS支付系统进行付款</TD>
                          <TD width="100">&nbsp;</TD>
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